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  4. Esthetician Client Intake Form
Professions

Esthetician Client Intake Form 2026

This esthetician client intake form opens by collecting contact and identity details — name, email, optional phone, and date of birth — so the practice has a complete client record before the appointment. It then moves into skin-specific questions: a single-choice "What is your primary skin concern?" question followed by "How would you describe your skin type?", giving the esthetician a clear starting point for treatment planning. Required allergy and medical-condition questions, alongside an optional current-product-use question, sit toward the end to flag any contraindications or sensitivities that could influence which products and techniques are safe to use. A final open-ended question invites the client to share their existing skincare routine or any other health context, and after submitting, the client sees a warm confirmation screen letting them know the practice is ready for their visit.

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This template is ideal for

Independent estheticians

Relies on the "What is your primary skin concern?" and "How would you describe your skin type?" questions to build a personalised treatment plan without a lengthy in-person consultation.

Med spas and skin clinics

Depends on the "Do you have any of the following medical conditions that may affect your treatment?" question to screen for contraindications like recent cosmetic procedures, pregnancy, or autoimmune conditions before any clinical treatment.

Skincare studios with multiple staff

Uses the "Are you currently using any of the following on your skin?" and "Please describe your current skincare routine or any additional health details you'd like your esthetician to know." questions to give any team member enough context to take over a client safely.

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